RT-PCR · Pathology

Which of the following is a specific application of RT-PCR in the pathology of solid tumors?

  1. Testing for germline BRCA1 mutations in tumor cells
  2. Detecting micrometastases in lymph nodes via mRNA markers
  3. Measuring the thickness of the tumor in millimeters
  4. Identifying the presence of HPV DNA in cervical squamous cells
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Correct answer: Detecting micrometastases in lymph nodes via mRNA markers

RT-PCR can detect mRNA markers that are normally only expressed in the primary tumor site (e.g., cytokeratin mRNA in lymph nodes). Finding these transcripts in a lymph node suggests the presence of metastatic cells that might be missed by standard histology.

Difficulty: Medium Question 19 of 20

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